Miranda, Karina J

Miranda, Karina J is an sole proprietor health care provider with primary practice located at 8321 W North Ave , Melrose Park IL 60160-1605. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Miranda, Karina J can be contacted via phone (708) 681-2298.

Contact Information

Primary practice address
8321 W North Ave Melrose Park IL 60160-1605
Phone: (708) 681-2298
Fax: (708) 681-2398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085.005705 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-005705 Illinois

Profile Details

NPI number 1598137085
LBN Legal business name Miranda, Karina J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2015
Last updated Apr 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598137085 NPPES
Illinois Other 085.005705 PHYSICIAN ASSISTANT LICENSE

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